Individual
KIMBERLY RAE MOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14928 16 MILE RD, LEROY, MI 49655-8293
(231) 768-4675
Mailing address
10879 RILEY ST, ZEELAND, MI 49464-6857
(616) 366-6875
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704201722
MI
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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